Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
YAMATO NURSING AND REHABILITATION CENTER
BOCA RATON, FL · 180 certified beds · Last Life Safety survey April 19, 2023
CMS Certification Number 105481 · first certified September 1984
Ownership
Operated by EXCELSIOR CARE GROUP · Non profit - Corporation
- Ownership changed April 1, 2023 (change of ownership)from MANOR CARE OF BOCA RATON FL LLC
Position within FL
20 citations — more than 96% of the 694 certified nursing homes in FL. Compared within FL rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated
The latest survey found 2 citations; the earlier surveys in the window averaged 9. With 3 surveys on file this is a direction of travel, not a conclusion.
When is the next survey likely?
Well past the typical window (July 2024 to March 2025), and past the point by which nine in ten FL facilities have been surveyed. This facility’s last Life Safety survey was April 2023. Facilities in FL are typically surveyed 15–23 months after the last one (median 17), measured over 729 consecutive surveys in the last two years of CMS records.
A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured
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1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.
Emergency preparedness
5 of the 20 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index
Physical environment (health survey)
6 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 20 Life Safety citations above. The Physical Environment Index
- F-0584 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- F-0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- F-0880 Provide and implement an infection prevention and control program.
How that compares
Compared with the median facility in FL, and nationally. Surveyors differ markedly between states, so the FL figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 20 |
| Median facility in FL | 7 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| January 7, 2021 | 17 |
| January 13, 2022 | 1 |
| April 19, 2023 | 2 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0223 | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | 2 | 2023-04-19 |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | 2 | 2023-04-19 |
| E-0031 | Provide emergency officials' contact information. | 1 | 2021-01-07 |
| K-0293 | Have properly located and lighted "Exit" signs. | 1 | 2021-01-07 |
| K-0351 | Install an approved automatic sprinkler system. | 1 | 2021-01-07 |
| E-0033 | Establish methods for sharing information. | 1 | 2021-01-07 |
| E-0007 | Address patient/client population and determine types of services needed. | 1 | 2021-01-07 |
| K-0324 | Provide properly protected cooking facilities. | 1 | 2021-01-07 |
What the citations cover
- Smoke Deficiencies 7
- Egress Deficiencies 6
- Emergency Preparedness Deficiencies 5
- Miscellaneous Deficiencies 1
- Other 1
| Category | Citations |
|---|---|
| Smoke Deficiencies | 7 |
| Egress Deficiencies | 6 |
| Emergency Preparedness Deficiencies | 5 |
| Miscellaneous Deficiencies | 1 |
| Services Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
April 19, 2023 — 2 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0223 | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Deficient, Provider has date of correction (May 19, 2023) |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (May 19, 2023) |
January 13, 2022 — 1 citation
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0541 | Install properly constructed and protected linen or trash chutes. | Deficient, Provider has date of correction (February 9, 2022) |
January 7, 2021 — 17 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0007 | Address patient/client population and determine types of services needed. | Deficient, Provider has date of correction (February 24, 2021) |
| E-0030 | List the names and contact information of those in the facility. | Deficient, Provider has date of correction (February 24, 2021) |
| E-0031 | Provide emergency officials' contact information. | Deficient, Provider has date of correction (February 24, 2021) |
| E-0033 | Establish methods for sharing information. | Deficient, Provider has date of correction (February 24, 2021) |
| E-0034 | Provide a means of sharing information on occupancy/needs. | Deficient, Provider has date of correction (February 24, 2021) |
| K-0222 | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Deficient, Provider has date of correction (February 24, 2021) |
| K-0223 | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Deficient, Provider has date of correction (February 24, 2021) |
| K-0225 | Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Deficient, Provider has date of correction (February 24, 2021) |
| K-0293 | Have properly located and lighted "Exit" signs. | Deficient, Provider has date of correction (February 24, 2021) |
| K-0300 | Meet other general requirements that are deficient. | Deficient, Provider has date of correction (February 24, 2021) |
| K-0324 | Provide properly protected cooking facilities. | Deficient, Provider has date of correction (February 24, 2021) |
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | Deficient, Provider has date of correction (February 24, 2021) |
| K-0351 | Install an approved automatic sprinkler system. | Deficient, Provider has date of correction (February 24, 2021) |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (February 24, 2021) |
| K-0363 | Install corridor and hallway doors that block smoke. | Deficient, Provider has date of correction (February 24, 2021) |
| K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Deficient, Provider has date of correction (February 24, 2021) |
| K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Deficient, Provider has date of correction (February 24, 2021) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.